| NPI | 1568407823 |
|---|---|
| Doing Business As | PEDIATRIC UROLOGY |
| Entity Type | Organization |
| Authorized Contact | DARRELL C COVEN Director Of Business Dev., Finance 803-296-7301 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2008-01-02 |